Individual
CAMERON NICHOLE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5004 HUNTERS TRL, APT 5, WILMINGTON, NC 28405
(336) 209-1813
Mailing address
5004 HUNTERS TRL, APT 5, WILMINGTON, NC 28405-2337
(336) 209-1813
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8365
NC
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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